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Contact Information

JEFFREY A BREALL, MD
1701 N SENATE BLVD
INDIANAPOLIS, IN46202-1239
 Phone: 317-962-0561
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY A BREALL · (Male)

NPI Number 1831153717
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 01/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01052687
  • IN License # 01052687A
  • IN Medicaid 200287770
  • IN Other 060066286 RAILROAD MEDICARE
  • IN Other 60060231 RAILROAD MEDICARE
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • IU HEALTH WEST HOSPITAL - (Acute Care)
    1111 N RONALD REAGAN PKWY
    AVON, IN 46123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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